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A study describing the change of susceptibility patterns of respiratory pathogens from a vast collection in Spain
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An experimental study in rats and in epithelial cell lines showing the different pharmacokinetic profiles of clarithromycin and of azithromycin in the lung
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Togami K, Chono S, Morimoto K. Distribution characteristics of clarithromycin and azithormycin, macrolide antimicrobial agents used for treatment of respiratory infections, in lung epithelial lining fluid and alveolar macrophages. Biopharm Drug Dispos 2011; 32:389-397. An experimental study in rats and in epithelial cell lines showing the different pharmacokinetic profiles of clarithromycin and of azithromycin in the lung.
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A large survey showing downregulation of cytokine production by circulating monocytes in sepsis
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An experimental study showing how treatment with azithromycin changes phenotype characteristics of alveolar macrophages
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Using a unique study model by sequential monitoring of the immune function after start of therapy, the efficacy of clarithromycin in the phase of immunoparalysis of sepsis was suggested
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The first large randomized study showing a positive effect of azithromycin in preventing exacerbation of chronic obstructive pulmonary disease
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A study showing the role of quorum sensing for swarming motility of Pseudomonas aeruginosa
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A randomized trial in mechanically ventilated patients colonized by Pseudomonas aeruginosa showing decreased gene expression of quorum sensing components in the tracheal aspirates after intravenous treatment with azithromycin
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A retrospective cohort analysis of 237 patients with severe sepsis due to CAP indicating an outcome benefit by addition of a macrolide to the treatment regimen
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Restrepo MI, Mortensen EM, Waterer GW, et al. Impact of macrolide therapy on mortality for patients with severe sepsis due to pneumonia. Eur Resp J 2009; 33:153-159. A retrospective cohort analysis of 237 patients with severe sepsis due to CAP indicating an outcome benefit by addition of a macrolide to the treatment regimen.
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Giamarellos-Bourboulis EJ, Pechère JC, Routsi C, et al. Effect of clarithromycin in patients with sepsis and ventilator-associated pneumonia. Clin Infect Dis 2008; 46:1157-1164. The only available randomized clinical trial showing benefit from administration of clarithromycin in patients with ventilator-associated pneumonia. (Pubitemid 351589897)
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